Social and Behavioral Sciences Commons^™

How Marital Stress May Affect The Onset Of Dementia In Older Adults, Khunza Asma

All Graduate Theses, Dissertations, and Other Capstone Projects

Marital stress has been identified as a significant factor influencing the cognitive health of older adults, with emerging evidence suggesting a potential link between marital discord and the risk of developing dementia. This study will review the existing literature on the relationship between chronic stress, depression, marital discord, and the development of cognitive impairment which can increase the risk of developing dementia in older adults. However, the purpose of studying how marital stress affects the onset of dementia is to deepen our understanding of the complex interplay between psychosocial factors and cognitive health in older adults, with the ultimate goal …

Dementia Care Among Somali Elders, Emmanuel Asante Opoku

All Graduate Theses, Dissertations, and Other Capstone Projects

Caring for persons with dementia is demanding and complicated since there is “no one-size-fits all formula for dementia care. The care needs to be modified to fit the various stages of the condition and each family's unique situation. Racial and ethnic differences place unique demand on all the forms of dementia care; in-home care (IHC), long-term care (LTC), adult day centers(ADC), short term care (STC) and hospice care (HC).

This paper aimed to study how Somali elders think and interact with dementia care services, from in-home care to hospice care. Some recommendations to study this issue is to do a …

Analyzing The Use Of A Montessori-Based Activity & Its Effect On Engagement & Affect In Persons With Dementia: A Replication Study, Emilee J. Andersen

All Graduate Theses, Dissertations, and Other Capstone Projects

Activities are an essential element in institutionalized settings for persons with dementia. Challenges are faced, however, when developing and implementing stimulating and meaningful activities for this population. Over the past two decades, Montessori-based activities (MBAs) have been investigated as a means for meeting the needs of persons with dementia residing in long-term care facilities. MBAs were developed to enhance the quality of life for individuals experiencing dementia through maximization of engaging and meaningful activities. The purpose of the current study was to expand on the empirical literature related to the use of MBAs for persons with dementia by replication of …

Caregiver Knowledge And Perceptions Of Dementia-Specific Nutritional Approaches, Danielle Freitag

All Graduate Theses, Dissertations, and Other Capstone Projects

Dementia is a syndrome that affects millions worldwide. The syndrome can cause great distress not only for the diagnosed individual but also for the family and friends who provide care. It is known that many caregivers for people with dementia face difficulties in planning and preparing meals, feeding, and making nutritional decisions for their loved ones. Several diets have been shown to assist with dementia-related symptoms pre and post diagnosis. However, what is unknown is whether caregivers are aware of the benefits of these diets and what the barriers are to implementing them into their nutrition regime. This study surveyed …

Barriers To Utilizing Resources For The Dementia Caregiver, Rebecca L. M. Shanafelt

All Graduate Theses, Dissertations, and Other Capstone Projects

The family caregiver of a person with dementia (PwD) provides valuable care and experiences negative health outcomes as a result. These negative health outcomes can be mitigated utilizing resources, however utilization rates remain low. While there is some research on barriers to accessing resources there is very little focused on caregivers of PwD. This study through semi-structured interviews with caregivers of PwD takes a deep look into the experience of first signs, diagnosis, and utilization of resources to better understand what those barriers might be. This study found that because of the healthcare structure caregivers do not learn about resources …

Assessing Preferences For Montessori-Based Activities In Persons With Memory Impairment, Katelyn Danielle Smith

All Graduate Theses, Dissertations, and Other Capstone Projects

The population of older adults in the U.S is continuously increasing. With this comes an increased number of individuals with Alzheimer’s or other dementia related disease (ADRD), along with the need for quality care for these individuals. The use of activities to increase engagement has been shown to have a number of psychological benefits, especially when these activities are tailored to the abilities and preferences of the individual. However, individualizing activity programming is not always feasible for activity and care staff. The purpose of this study was to use a stimulus preference assessment to identify Montessori-based activities that persons with …

The Effects Of Elderspeak On The Mood Of Older Adults With Dementia: A Preliminary Report, Kenia Torres-Soto

All Graduate Theses, Dissertations, and Other Capstone Projects

Barriers to effective and harmonious communication between caregivers and those affected with dementia are common and inevitable. An example of a common barrier is aphasia, which is a prevalent communication deficit associated with dementia. The social environment may further hinder harmonious communication through the use of well-intended, but ineffective speech patterns. Elderspeak (ES), which is infantilizing speech directed at older adults, is one such speech pattern that is commonly used in long-term care facilities (LTC) and is related to negative outcomes for older adults receiving it. Older adults with mild to moderate cognitive impairment who were residents at a LTC …

The Relationship Between Instruction Specificity And Resistiveness To Care During Activities Of Daily Living In Persons With Dementia, Jeffrey Buchanan, Britta Dejager, Sandra Garcia, Daniel Houlihan, Carolina Sears, Kathleen Fairchild, Adam Sattler

Psychology Department Publications

It is common for persons with dementia to display resistant behaviors during activities of daily living (ADLs) and caregiver communication skills can influence the likelihood of these behaviors. Previous research suggests that the type of instructions issued by caregivers is related to rates of compliance during ADLs in persons with dementia. It is unclear, however, if these instruction types affect the likelihood resistiveness to care (RTC) during ADLs. The purpose of the current study was to examine how the use of different types of instructions relate to instances of RTC during ADLs. Results indicated that vague and ambiguous instructions (i.e., …

Addressing Cognitive Decline: Evaluating The Effects Of A Cognitive Training Program For Individuals With Mild To Moderate Cognitive Impairment, Katherine Ann Stypulkowski

All Graduate Theses, Dissertations, and Other Capstone Projects

Cognitive training offers a nonpharmacological method for increasing or stabilizing cognitive functioning through the use of guided practice on a set of tasks designed to reflect particular cognitive functions, such as memory, attention, language, or executive function. The purpose of the current study was to evaluate the efficacy of a cognitive training program for individuals with mild to moderate cognitive impairment. Six participants who displayed mild to moderate cognitive impairment were recruited at a local care facility and participated in a cognitive training program that consisted of 24 sessions conducted over 12 weeks. At the request of the facility’s activities …

A High-P/Low-P Procedure To Improve Recall Memory In Elderly Patients With Mild To Moderate Cognitive Impairment, Dawn Amber Seefeldt, Daniel Houlihan, Jeffrey Buchanan

Psychology Department Publications

The objective of this study was to demonstrate the effectiveness of implementing two types of high-probability of naming/low-probability of naming procedures to improve object recall memory in elderly individuals with cognitive impairment. The procedures involved the use of directives for recall compliance with a demonstrated high rate of compliance followed by embedded directives with a demonstrated low rate of recall. Two elderly subjects in states of cognitive decline were used in this demonstration. Results indicated positive outcomes with both procedures. Recall-based interventions were more effective than recognition-based procedures.

The Person We Knew: Perceptions Of The Identity Of Loved Ones With Dementia By Family Caregivers, Amber Jannusch, Dena Huisman

Speaker & Gavel

While several studies have looked at the identity of dementia patients, most focus on the point of the view of the patient. However, caretakers’ and family members’ view of the identity of the dementia patient is unstudied. This study attempts to see how family caregivers’ view of their family member’s dementia manifests in communication about the loved one. This study is a preliminary examination of family caregivers’ constructions of the identity of their loved one, revealing that caretakers have one of three views: the patient without an identity, the patient as a different person, or the patient as “not lost” …

Determining Musical Preferences In Persons With Dementia: Comparing Caregiver Options To Stimulus Preference Assessment, Eva Christine Igler

All Graduate Theses, Dissertations, and Other Capstone Projects

The music therapy literature supports the use of individualized music in order to reduce problem behaviors among individuals with moderate to severe dementia; however, these interventions frequently rely on family members and/or staff to choose preferred music. Family members and caregivers are often inaccurate when choosing preferred stimuli for cognitively impaired individuals. The purpose of this study was to determine if family members and caregivers could accurately identify the preferred music of individuals with dementia. A single stimulus preference assessment was used to empirically determine preferred music and then these results were compared to family member and caregiver rankings. The …

Memory Priming In Elderly Individuals Diagnosed With Dementia, Jessica Lee Deselms

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to examine the efficacy of a novel memory enhancement procedure for individuals with dementia named "memory priming." Three elderly individuals with a diagnosis of dementia participated in the study. Baseline procedures involved identifying low-probability items that served as targets for the intervention and moderate-probability questions that served as control items. A variation of a reversal design was implemented to compare three different conditions: the memory priming intervention and two control conditions that involved reading aloud and a watching a video. The results of the study indicated that individuals with moderate-to-severe memory impairment do …

An Application Of A High-P Low-P Procedure To Improve Recall Memory In Elderly Patients With Mild To Moderate Cognitive Impairment, Dawn Amber Seefeldt

All Graduate Theses, Dissertations, and Other Capstone Projects

Memory problems are a hallmark symptom of dementia. Although memory problems can take various forms, anomia is a common type of cognitive deficit that involves difficulty recalling names of people or objects. The purpose of the current study was to test the effectiveness of two interventions designed to improve the ability to recall the names of objects. Two elderly individuals with memory impairment participated in this study. Baseline involved identifying low and high probability images, with low-probability (low-p) items serving as the target images during the intervention phases. Two interventions were compared using an alternating treatments design. The first intervention, …

A Comparison Of The Effectiveness Of Distractors Identified Through Stimulus Preference Assessment Versus Caregiver Opinion, Jonathan Steele

All Graduate Theses, Dissertations, and Other Capstone Projects

The effect of a distraction-based intervention on positive affect and aggressive and distress-related behaviors during morning activities of daily living in an elderly dementia patient was tested. Concurrently, the effectiveness of distractors chosen by staff and family report as compared to those chosen through a stimulus preference assessment (SPA) was tested. An alternating treatment design was used to implement identified distractors and a direct observation system was used to measure outcomes. Though staff reported increases in positive affect when using an edible chocolate distractor, no significant changes in positive affect or distress related behaviors were noted by the end of …

Implications Of Skinner's Verbal Behavior For Studying Dementia, Jeffrey Buchanan, Daniel Houlihan, Peter J.N. Linnerooth

Psychology Department Publications

Persons with dementia experience continual declines in a number of abilities. Language abilities are particularly hard hit and become increasingly impaired as the underlying disease progresses. These language impairments make verbal communication very challenging for family and professional caregivers. As a result, caregivers may inadvertently punish verbal behavior, thereby exacerbating the deterioration of verbal repertoires. Although the topography of language impairments associated with dementia have been well described, less empirical work has been conducted concerning how to minimize these impairments and their deleterious effects. In 1957 B.F. Skinner outlined his conceptualization of language and cognition in his book Verbal Behavior. …